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Preventive Visit, Established Patient, Infant

Colorado rates for HCPCS 99391

This is a routine well-baby checkup for an established patient under age 1, focused on growth, development, and preventive care rather than a specific illness. It typically includes a physical exam, developmental screening, and guidance for parents on feeding, safety, and immunizations.

Rates data updated July 2026.

How much does Preventive Visit, Established Patient, Infant cost?

$87.10

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $91.20 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$87.10$66.07 to $112
FacilityA hospital or hospital-owned outpatient department$91.20$67.61 to $120

How much rates vary

Facilitymedian $91 · 10th to 90th $35 to $158Professionalmedian $87 · 10th to 90th $58 to $186
$20$50$100$200facility $91professional $87

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$19.50
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$83.18
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$181.97
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$97.72
Typical High
$158.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$144.54
Typical High
$199.53
Select Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$128.82
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$173.78

Where Colorado sits

The same service costs 2.2 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 32nd of 51

$87.10

MN $170DE $77.62

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.